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Home My WebLink AboutMFP21005696.pdfDEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Minor Franchise Permit: MFP21005696 IVR Number: 21005696 Permit Information Permit Name: T-Mobile Franchise Agreement Address/Location:11/24/2021Application Date:0323059121Parcel Number: 5418 NE SUNSET BLVD Permit Type:02/07/2022Issue Date:Franchise Permit Work Class:02/07/2023Expiration Date:Minor Utility Job Number: SE02511G Hwy 900/PSE/Hansen (L600; Anchor)Franchise Type:Cable Description: T Mobile West Franchise Agreement (Ord. 5814) Request for lane closure for construction staging. Add/replace antennas and ancillary equipment on the PSE utility pole located on private property. Contacts Name Address PhoneTypeBilling JOHN EDER J4 SITE SOLUTIONS INC 10427 205th Dr SE Snohomish, WA 98290 B: (253) 278-2902Applicant T-MOBILE (Redmond)15340 NE 92nd St, Bldg D Redmond, WA 98052 Applicant Mastec Network Solutions Inc 22257 68th Avenue S Kent, WA 98032 Contractor Business License Number: 38949Construction Contractor: MASTENS876KN Electrical Contractor: MASTENS863JS CITY OF RENTON ROW 1055 S Grady Way Renton, WA 98057-3232 Owner T-MOBILE (Redmond)15340 NE 92nd St, Bldg D Redmond, WA 98052 Specialized Billing X General Conditions & Signature Permission is hereby given for the work described on this permit according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinance of the City of Renton. Ÿ This permit and plans must be posted at the job site at all times.Ÿ I hereby certify that no work is to be done except as described above and in approved plans, and that work is to conform to Renton Trench Restoration and Street Overlay Requirements. Ÿ Call 425.430.7203 or go to: https://permitting.rentonwa.gov one working day in advance to schedule an inspections and for ANY work in the Right of Way. Ÿ Call 8 1 1 to locate underground utilities at least two full business days prior to any excavation.Ÿ In accordance with RCW 19.122.033(4) the permit holder is required to contact (Williams Northwest Pipeline at 425.868.1010) (Olympic Pipeline at 206.510.0575) (Puget Sound Energy at 425.375.3397) to request a consultation with the transmission pipeline company prior to performing any construction or excavation activities. This requirement to consult with the transmission pipeline company is in addition to the requirement to Call before You Dig as required in RCW 19.122. Ÿ (Date)(Signature) Page 1 of 1THIS PERMIT AND PLANS MUST BE POSTED AT THE JOB SITE AT ALL TIMES DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Page 1 of 1 | Published: 1/2/2019 Planning Division | 1055 South Grady Way, 6th Floor | Renton, WA 98057 | 425-430-7200 Email: franchisepermits@rentonwa.gov Website: rentonwa.gov FRANCHISE PERMIT APPLICATION Published: 1/2/2019 TO THE APPLICANT: Submit an electronic copy of the plans with the Franchise Permit Application and the Site Specific Traffic Control Application to franchisepermits@rentonwa.gov. Permit cost is $630.00. Inspection fee for trenching more than 60 lineal feet or installation of 6 or more poles will be billed at $60.00 per hour. Franchise Agency: Franchise Job Number: Phone: Contact Name: Email: Job Site Address: Project Name: Description of Work: Please check all that apply: ☐ New Construction ☐ Repair/Relocate ☐ Underground ☐ Overhead ☐ Sidewalk ☐ Street ☐ Open Trench ☐ Bore # of feet: Contractor Name: Phone: State Contractors License #: City of Renton Business License #: “I certify that I am the owner or applicant’s authorized agent and do hereby agree to abide to the terms and conditions set forth under this permit and shall comply with the City of Renton’s Trench Restoration and Street Overlay Requirements. ” Signature Date INSPECTIONS SHALL BE REQUESTED 24 HOURS PRIOR TO COMMENCEMENT OF ALL WORK BY CALLING THE INSPECTION LINE AT 425-430-7203 OR BY GOING TO MYBUILDINGPERMIT.COM Jobs are required to be called in for job start, re-inspection and project final. Re-inspection fees are billed at $125/hour. All Pre-Construction meetings shall be scheduled at a maximum of 14 days prior to the job start date. Plan Review/Development Engineering Date Approved as submitted Pre-Construction Meeting required Site Construction Inspector Date Approved with comments or redlines Camera inspection of utilities required Development Engineering Manager Date Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document. DEPARTMENT OF PUBLIC WORKS Page 1 of 3 | Published: 10/27/2021 Transportation Division | 1055 South Grady Way, 5th Floor | Renton, WA 98057 | 425-430-7380 Website: rentonwa.gov TRAFFIC CONTROL PLAN APPLICATION Published: 10/27/2021 TRAFFIC CONTROL PLAN (TCP) MUST BE SUBMITTED TO PUBLIC WORKS TRANSPORTATION DIVISION FOR REVIEW/APPROVAL AT LEAST FIVE (5) WORKING DAYS BEFORE THE DATE OF WORK. The City of Renton requires any contractor, firm, corporation, or other public/private agency to prepare a traffic control plan (TCP) and obtain city's approval of that plan when construction, repair, or maintenance work is to be conducted within the city's right-of-way. 1. Fill out the Traffic Control Plan (TCP) Application form and prepare required submittal documents. 2. The following items are all required for submittal of the TCP Application: ☐ Electronic Copy of the TCP Application ☐ Electronic Copy of the TCP Layout, on 11” X 17” paper size format, which shall:  Include map(s) showing the location of the project and work area.  Be legible lettering and clear, contrasting, symbols of viewing or printing.  Must indicate street names, and north arrow and scale.  Types of plans required: o Work hour plan – show all mobility impacts during construction hours. o Non-work plan - show all mobility impacts after work hours when limited or no work is happening in the right-of-way (ROW), if applicable. o Changing construction phases – show construction sequence and each construction phase change even if the traffic control is not modified, if applicable. o Pedestrian access/detour plan, if applicable. - Shall conform to the Washington State Traffic Control Flagger Certification handbook, by the Evergreen Safety Council. 3. Submit Application via email to TCP@rentonwa.gov with the subject line “TCP Application – [Project Name].” Project Name: Permit #: Site Address: Work Date: From _____________ To _____________ Work Time: Start ______________ End ______________ Construction Company: Contact Name: Phone/Cell: _________________________ Business Address: City/State: Zip: Description of Work: Approval By: _________________________________________________ Date:____________________ Transportation Engineering Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document. Page 2 of 3 | Published: 10/27/2021 PERMIT HOLDER AGREES TO ALL THE FOLLOWING:  Must have approved Traffic Control Plan (TCP) prior to commencing the work.  Maintain existing pedestrian access. The work on pedestrian facilities, shall be limited to one corner at a time, with the least possible inconvenience or delay to pedestrians.  WORK TIME begins when any street or travel lane is fully or partially closed. This includes set up within the traveled way.  Comply with all traffic regulations of the City of Renton and the State of Washington.  Prepare a traffic control plan and obtain City approval of that plan. That plan shall be implemented for all street and lane closures, and the plan shall be performed in compliance with the Manual on Uniform Traffic Control Devices.  Notify emergency services (253-852-2121) twenty-four (24) hours before any street or lane closures.  Contractor or entity must call Renton School District (425-204-4455) or any public/private agency, including public transit, to be affected by a temporary lane or road closure a minimum of five business days (excluding weekends and holidays) prior to starting any work.  Contractor or entity must notify King County Metro in writing at construction.coord@kingcounty.gov a minimum of five business days (excluding weekends and holidays) prior to starting any work impacting bus stops, a temporary lane or road closure. Work requiring removing a bus shelter or sign requires notification in writing a minimum of 30 business days (excluding weekends and holidays). Please call King County Metro at 206-477-1140 with any questions.  Any lane or street closures not in conformance with the approved traffic control plan and/or without notification of emergency services may result in receiving a citation for violation of R.C.W. 47.36.200 Signs or Flaggers at thoroughfare work sites and R.C.W. 9A.36.050 Reckless Endangerment, and other applicable State and City codes.  Indemnify and hold harmless the City of Renton from any and all claims, actions, and judgments, including all costs of defense and attorney’s fees incurred in defending against same, arising from and related to implementation of the approved traffic control plans including claims arising from towing of private vehicles and the acts of the Permit Holder’s agents and employees.  The City of Renton shall be entitled, in its reasonable discretion, to settle claims prior to suit or judgment, and in such event shall indemnify and hold harmless the City for any such claims paid, including the City’s reasonable attorney’s fees and litigation costs incurred resulting from such claim.  In the event any claim or suit is brought against City within the scope of this Agreement, Permit Holder will pay for legal counsel chosen by the City to defend against same.  Flagger and sign placement are subject to revision by the City Inspector on site, if needed to address traffic or pedestrian safety or travel.  All permit conditions shall be met. NOTES:  Total road closure lasting more than twenty-four (24) hours is subject to the approval by the City Council.  Work Zone Traffic Control shall be in accordance with the Manual on Uniform Traffic Control Devices (MUTCD) and shown by a traffic control plan layout or reference to WSDOT.  Approved Temporary Traffic Control Plan must be at the work site during work hours.  Complete assistance and accommodation shall be provided to all kinds of pedestrian traffic when sidewalk or walkway is impeded to safely redirect pedestrians around a work zone.  Signage shall be used to warn motorcyclists/bicyclists of the potential hazards on any uneven surfaced or slippery road conditions during work and non-work hours.  Any vehicle, equipment, barricade, or portable tow-away sign used within the work area must display a company logo or any legally acceptable sign showing the company name, address, and telephone number at a conspicuous place on the vehicle or equipment. Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document. Page 3 of 3 | Published: 10/27/2021  In the case of Temporary No Parking Zones, all the following apply in addition to previous:  Contractor must complete form to show limits of Temporary No Parking Zone identifying barricade locations for vacate parking or curb lane usage.  Contractor must post notice of dates and time of Temporary No Parking Zone with at least two signs per block seventy-two (72) hours in advance of effective date and time.  The cover sheet of this Traffic Control Plan form must be attached to each Temporary No Parking Sign on the project site.  Temporary traffic control devices must be removed immediately when work is done or no construction activities are going on. If deemed abandoned, City crews will remove and store them at the City’s maintenance shop (3555 NE 2nd Street). I certify that the information on this application and within the submittal documents are accurate to the best of my knowledge and I acknowledge all the requirements on this application. Applicant’s Signature Date Applicant’s Name (Print) 14622 Renton Issaquah Rd SE S R 9 0 0 148th Ave SENE Sunset Blvd SR 900 SPEED LIMIT 25 145th PL SEM P 1 5 . 0 5 M P 1 4 . 3 9 W20-7a ONE LANE ROAD AHEAD W20-4 ROAD WORK AHEAD W20-1 ROAD WORK AHEAD W20-1 ROAD WORK AHEAD W20-1 ROAD WORK AHEAD W20-1 ONE LANE ROAD AHEAD W20-4 W20-7a LOCATION:14622 Renton Issaquah Rd SE CUSTOMER: CONTACT: PROJECT/WO: Olivia Wright 253.653.9787 Lync Consulting DATE:10/12/2021 PAGE 1 of 1 PERMIT:City of Renton SE02511G Hwy 900 PDE Hansen DESIGNED BY DONNA SANDALL WA TCS 11977 ATSSA TCS 581686 FL MOT/TTC 70055 Notes: 1. All signs and spacing must conform to the City of Renton, WSDOT, and the MUTCD. 2.All signs are 48”x48” B/O unless otherwise specified. 3.Channeling devices are 28” cones with retro reflective banding. 4. Notify City , County or WSDOT authorities 48 to 72 hours in advance of work if required. PlansbyDonna, as the preparer of this traffic control plan makes no representation as to its general adequacy or being approved for implementation. TTC plans and devices shall be the responsibility of the authority of a public body or official (road owner) having jurisdiction for guiding road users. MUTCD 6A.01(10) N Legend Cone flagger symbol ROADWORKAHEAD W20-1 Road Work ONE LANEROADAHEAD W20-4 One Lane Road W20-7a flagger Work Area Manifest 18 x Cone 4 x W20-1 Road Work 2 x flagger symbol 2 x W20-4 One Lane Road 2 x W20-7a flagger www.invarion.com April 24, 2020 Letter of Authorization – Lynx Consulting, Inc. as a representative of T-Mobile To Whom it May Concern: Lynx Consulting, Inc. and its employees and agents (including J4 Site Solution, Inc) is an authorized representative of T-Mobile and has been contracted to perform cellular site development activities (i.e., real estate leasing, land use entitlements, materials procurement, architectural engineering, equipment installation, design and construction, etc.) on behalf of T-Mobile in connection with our existing and future telecommunications facilities. As an authorized representative of T-Mobile, Lynx Consulting, Inc. and its employees and agents (including J4 Site Solution, Inc) is authorized to sign, submit, and review permit entitlement applications and permits; provide representation at meetings and hearings; and negotiate contracts on T-Mobile’s behalf. Sincerely, Michael Reed Site Development Manager T-Mobile 19807 North Creek Parkway North, Bothell, WA 98011 Mobile 425-753-0525 Mike.Reed161@T-Mobile.com DocuSign Envelope ID: B7E09E33-E237-49BA-AD42-BD6440457492